subject_line
Business Lending Prequalification
Business Information
Legal Name
*
Physical Location Phone
*
Preferred Contact Phone Number
*
Cell Phone Number
*
DBA name.
*
Federal Tax ID
*
State of Incorporation
*
Email Address
*
Fax Number (If applicable)
Business Start Date (MM/DD/YYYY)
*
+
Industry
*
Website URL
*
Business Address
*
Address 2
City
*
State
*
ZIP
*
Gross Annual Revenue
*
Average Monthly Credit Card Sales
*
Monthly Bank Deposit Volume
*
Average Daily Bank Balance
*
Funding Amount Requested
*
Use of funds?
*
Property type?
*
Rent
Own
Is your lease/mortgage current?
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Yes
No
Lease/mortgage payment amount. (dollars)
*
Do you have any outstanding loans other than your mortgage?
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Yes
No
Type of business entity
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Sole Proprietor
Corporation
LLC
Partnership
LP
LLP
Sole Proprietor
Other loan current balance. (dollars - if applicable)
Other loan payback amount still due. (dollars - if applicable)
Terms of your other business loan? (if applicable)
Please select your business consultant or referral partner if you already have one.
*
K’World
PM Marketing
Mark Boundgard
Jeison German
Priamo Bautista
Georgiana Jackson
Tiffany Phillips
Jeffrey Miller
Fabian Alarcon
Renato Rosas
Joshua Torres
Alexis Acosta
I'm not working with anyone yet
Seasonal business?
*
Yes
No
Do you own a home?
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Yes
No
Please upload your last three (3) months of bank statements.
*
Approximate Credit Score
*
400-500 FICO
500-600 FICO
600-700 FICO
700+ FICO
Which funding type are you requesting?
*
Short Term Funding
Medium-Term Funding
Food Truck Financing
Equipment Financing
Invoice Financing
SBA (7a) Loan
Line of Credit
I need help selecting which type.
*Please note that your social security number or federal tax ID number is required to complete this application. We will call you to verify all information and securely take that by phone.
Owner/Officer 1 Information
First Name
*
Last Name
*
Ownership %
*
Date of Birth
*
SSN
*
Position/Title
*
Email Address
*
Mobile Phone Number
*
Home Phone Number
Present Address
*
Address 2
City
*
State
*
ZIP
*
Owner/Officer 2 Information (Only Complete if Applicable)
First Name
Last Name
Ownership %
Date of Birth
SSN
Email Address
Present Address
Address 2
City
State
ZIP
Home Phone Number
Mobile Phone Number
Our Packaging Fee will be less than or equal to six percent (6%) of the amount funded on all business loans, or up to three percent (3%) for Commercial and Residential Real Estate Loans. If the Client’s loan is approved, you agree to allow Jeison German Group /JG Venture Capital/JG Realty Funds to directly ACH your account from the loan proceeds totaling the % applicable of the funding amount disbursed.
*
Agree
Please acknowledge you have read and agree to the following: Financing may be offered through Stearns Bank, N.A. RCN, ARF Financial or other third-party lenders. Neither JG Venture Capital, JG Realty Funds, JeisonGermanGroup nor any lender makes any commitment to lend, representation or guaranty of any person’s eligibility for financing. Requested financing is subject to approval by the lender, and if applicable as to government-backed financing, the U.S. Government. JG Venture Capital, JG Realty Funds, JeisonGermanGroup makes no commitment or guaranty as to the amount of referral fees or other income payable under the JG Venture Capital, JG Realty Funds, JeisonGermanGroup Referral Partner program. All programs and offers, implied or stated, are subject to change without notice. Member FDIC | Equal Housing Lender.
*
Understand and Accept
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